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Article Synopsis
  • Robot-assisted extravesical ureteral reimplantation (REVUR) is presented as a beneficial alternative to traditional open surgery for children with complex obstructed megaureter (COM), which may require ureteral dismembering or tapering.
  • In a study of 16 pediatric patients (mostly boys), REVUR was successfully performed without complications, with a median surgery time of around 220 minutes and a hospital stay of about 3.8 days.
  • Post-surgery, all patients experienced symptom relief and improved ultrasound results, with only a small percentage facing minor complications, indicating REVUR's effectiveness and safety for treating obstructive ureteral issues.
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We present the first and a rare case of orthotopic renal auto-transplantation in the management of postchemotherapy residual retroperitoneal mass encasing the left renal vessels but sparing the parenchyma in a 24-year-old patient with Stage IIIC nonseminomatous germ cell tumor after 4 cycles of chemotherapy. Immediate postoperative and 6 months' follow-up renograms confirmed the maintained glomerular filtration rate of the transplanted kidney with no residual disease. This case report shows the feasibility of renal autotransplantation in carefully selected patients as they are young and have long-term survival.

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[Etiological analysis of hydronephrosis in adults: A single-center cross-sectional study].

Beijing Da Xue Xue Bao Yi Xue Ban

October 2024

Department of Urology, Peking University First Hospital; Institute of Urology, Peking University; National Urological Cancer Center, Beijing 100034, China.

Article Synopsis
  • * A total of 767 adult patients were examined, excluding those with ureteral stones or tumors, with data collected over a year at Peking University First Hospital.
  • * Findings revealed that non-surgical factors like urinary malformations were the leading cause in over 60% of cases, while iatrogenic injuries from surgeries accounted for about 27% of the cases studied.
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Identifying and localizing the site of post-renal transplantation urine leaks is important for patient management and treatment planning. Renal scintigraphy is a proven modality for confirming urine leaks after complicated post-renal transplantation. Routinely, renogram studies are performed with a clamped extraperitoneal drain.

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Purpose: To investigate the performance of dynamic 3D diuretic renal scintigraphy using a hybrid whole body CZT SPECT/CT for the evaluation of acute ureteric obstruction in patients with urinary stone disease.

Methods: 20 patients who presented to the Emergency Department with acute renal colic due to urinary stone disease confirmed by means of CT were prospectively included. Three observers evaluated and graded hydronephrosis, hydroureter, perirenal stranding, and thickening of the renal fascia from the CT as well as the renal scintigraphy curves from the dynamic SPECT study.

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